Blood test, vitamin D
Facility: Mitchell County Hospital Health Systems
Billing Code: 82306 (CPT)
- CPT Billing Code: 82306
- Insurance Median: $255
- Cash Discount Price: $263
- vs. Medicare Baseline: 8.61x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $29.6 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 861% of the Medicare baseline (a markup of 761%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| UnitedHealthcare | $30 - $328 | 101% |
| Blue Cross Blue Shield | $218 | 736% |
| Triwest Well Mark All Plans | $218 - $279 | 736% |
| Pref Hlth Care Sytms Comm - All Plans | $230 - $295 | 777% |
| Aetna | $230 - $295 | 777% |
| First Health-All Plans | $230 - $295 | 777% |
| Multiplan Ppo - All Plans | $243 - $312 | 821% |
| Auxiant-All Plans | $243 - $312 | 821% |
| Phc Leased Ntwrk Access - All Plans | $243 - $312 | 821% |
| Health Partners Ks-All Plans | $253 - $325 | 855% |
| Cigna | $253 - $325 | 855% |
Consumer Guidance & Cost Commentary
For CPT code 82306, a blood test for vitamin D, the gross charge at Mitchell County Hospital Health Systems is $292.00. While the facility offers a cash median price of $263.00, commercial insurance negotiated rates range from $218.00 to $328.00 across 11 payers, with the lowest negotiated amount being $218.00. This data indicates that for patients with high-deductible plans, paying the cash price of $263.00 may be more cost-effective than relying on insurance, as the negotiated rates for many plans exceed the cash rate. Additionally, the facility is a Critical Access Hospital in Beloit, KS, with a government-local ownership structure, and patients should verify if "self-pay" or "prompt-pay" discounts are available before scheduling to potentially lower the final cost.
When evaluating the value of this service, it is important to compare the facility's rates against the Medicare benchmark, which stands at $29.60 for this procedure. The cash median of $263.00 represents a significant markup relative to the Medicare rate, a common practice in commercial billing where negotiated rates often average 200% to 300% of the Medicare amount. If you receive a bill from this facility, you should request an itemized billing audit to ensure no errors, such as unbundled codes or services not rendered, are included, as over 80% of hospital bills contain errors. Furthermore, if you are out-of-network, you may be subject to balance billing for the difference between the provider's charge and your insurance allowed